Prescription Refill Request Form

To help save you time when picking up your order, please use the form below to request your prescription refill. Please allow 24 to 48 hours for order processing. Do not come to the clinic until you have received confirmation to pick up your order.

Please note that some prescriptions will require an examination of your pet prior to re-filling. This check-up ensures that your pet is healthy enough to handle the potential side effects of some prescriptions and provides further confirmation that the medication is appropriate for your pet’s current condition.

IMPORTANT: Prescription refills are not confirmed until you have received notification. A staff member will contact you by phone or email.

Prescription Refill Request Form

First Name *

Last Name *

Email *

Phone *

Pet's Name *

Name of Medication *

Dosage and Instructions *

Size and Strength *

Additional Comments

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